| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1699922476 | GRACE | SO YUN | PARK | 2734 N 61ST ST | OMAHA | NE | 681044020 | |
| 1417308511 | SINGH | SONAL | 2734 N 61ST ST | OMAHA | NE | 681044020 | ||
| 1508222183 | SPIVEY | EMI | M | 2734 N 61ST ST | OMAHA | NE | 681044020 |